Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $396.26 / $396.26 / $396.26	Professional		$396.26	$396.26	$396.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $744.50 / $744.50 / $744.50	Facility		$744.50	$744.50	$744.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $649.92 / $649.92 / $1,030.86	Professional		$649.92	$649.92	$1,030.86
HMSA Facility/Professional Professional Modifier Low / Median / High Price $937.15 / $981.31 / $981.31	Professional		$937.15	$981.31	$981.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $562.29 / $937.15 / $1,312.01	Professional		$562.29	$937.15	$1,312.01
United Facility/Professional Professional Modifier Low / Median / High Price $617.41 / $744.50 / $1,030.86	Professional		$617.41	$744.50	$1,030.86
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $409.86 / $754.92 / $892.00	Professional		$409.86	$754.92	$892.00